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Inspection visit

Follow-up on corrections

LEXINGTON ASSISTED LIVINGLicense 5658501115 citations on this visit
5 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) JoAnn Rosales conducted a Case Management - Deficiencies visit at the facility. LPA met with Matteo DiGrigoli Operations Manager who is authorized to review and sign reports. During facility tour on 2/24/22 starting at 10:08 am with the Operations Manager LPA observed scissors, disinfectant, dish soap, wall texture and a knife in the memory care unit kitchen accessible to residents as the door was unlocked. Operations Manager stated that they normally keep the door locked. During facility tour at 10:33 am with Operations Manager LPA observed aspirin, clopidogrel tablets, ferrous sulfate tablets, pantoprazole tablets, dulcolax stool softener, aspirin, brown seaweed in resident #2 (R2's) room accessible to residents as R2's door was open. During facility tour at 10:46 am with Operations Manager LPA observed glass cleaner, texture spray, screwdrivers, muti surface cleaner, hammer and wrenches in empty room 363 with open door accessible to residents. During facility tour with Operations Manager LPA observed staff #1 (S1) working and not associated to the facility. S1 stated that they have been working at the facility for 2 weeks. LPA verified through Guardian that S1 is fingerprint cleared and not associated to the facility. Administrator stated that S1 worked at the facility on 1/31, 2/6, 2/9, 2/10, 2/12, 2/13, 2/15, 2/16, 2/17, 2/19, 2/20, 2/21 and 2/22/22. During the complaint investigation of complaint #29-AS-20210226132843 , it was disclosed to Investigator Dennis Douglas that R1 began residency at the facility on 03/01/2020. However, the Facility Wellness Director Lidia Padilla acknowledged that R1’s Needs and Services Plan had not been updated until the most recent fall on 04/21/2021. The Needs and Services Plan had not been updated to reflect R1’s change of condition and assessment for possible higher level of care due to frequent falls and cognitive decline. R1 experienced multiple falls and sustained injuries during the time period from August 2020 to April 2021. Additionally, R1 was moved to the memory care portion of the facility in November 2020. Continued on 809C Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D). Civil penalties issued in the amount of $250.00, $250.00 and $1300.00. Exit interview was conducted, today's reports, civil penalties and appeal rights were reviewed and emailed to the Operations Manager

Citations

7 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87309(a)Type A

    Ensure hazardous items are locked and not unattended

    87309 Storage Space(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.This requirement is not met as evidenced by: Based on LPA’s observations, the licensee did not comply with the section cited above as disinfectants, cleaning solutions and other items which could pose a danger were accessible to residents which posed an immediate health and safety risk to persons in care.

  • 87355(e)(2)Type A

    Obtain required California clearance or exemption

    87355 Criminal Record Clearance. (e)(2) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: Request a transfer of a criminal record clearance as specified in Section 87355(c) or...This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above as the licensee did not ensure that S1 was associated prior to allowing S1 to work, which poses an immediate safety risk to persons in care.

  • 87463(a)Type B

    Update reappraisal at required intervals

    87463 Reappraisals (a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition….This requirement was not met as evidenced by: Based on documentation review, the licensee did not comply with the section cited above as R1’s Needs and Services Plan was not updated to reflect a change of condition which poses a potential health and safety risk to persons in care.

  • 87465(h)(2)Type A

    Store centrally held medications in locked secure place

    87465 Incidental Medical and Dental Care Services (h)(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.This requirement is not met as evidenced by: Based on LPA's observations, the licensee did not comply with the section cited above as R2's medications were observed accessible to residents which poses an immediate health and safety risk to persons in care.

  • 87705(f)(1)Type A

    Notify agency before locking doors or gates

    87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s).This requirement is not met as evidenced by: Based on LPA's observation, the licensee did not comply with the section cited above as scissors were accessible to residents which poses an immediate health, safety or personal rights risk to persons in care.

  • 1569.312(a)Type A

    1569.312 Basic services requirements (a) Every facility required to be licensed under this chapter shall provide at least the following basic services: (a) Care and supervision as defined in Section 1569.2This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above as they failed to provide adequate care and supervision to R1 which attributed to R1 sustaining multiple injuries due to falls, which posed an immediate health and safety risk to persons in care.

  • 87211(a)(2)Type B

    Report serious outbreaks and major accidents

    87211 Reporting Requirements(a)(2) Occurrences, such as epidemic outbreaks, poisonings…which threaten the welfare, safety or health of residents, personnel…shall be reported within 24 hours either by telephone or facsimile to the licensing agency and to the local health officer when appropriate.This requirement is not met as evidenced by Based on interviews and record review, the licensee did not comply with the section cited above as the licensee did not report COVID positive residents to Community Care Licensing and Ventura County Public Health which poses a potential health and personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the February 24, 2022 inspection of LEXINGTON ASSISTED LIVING?

This was an other inspection of LEXINGTON ASSISTED LIVING on February 24, 2022. 5 citations were issued: 4 Type A (serious) and 1 Type B.

Were any citations issued to LEXINGTON ASSISTED LIVING on February 24, 2022?

Yes, 5 citations were issued (4 Type A, 1 Type B). The first citation was for: "87309 Storage Space(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.